This form is used to collect information from your references. We will contact both references to share information about:
Although we recognize that many students might benefit from a program like ours, we often have more qualified students than we have space available and not all students will be accepted into the program. If you are not accepted, you are welcome to reapply the following year.
When you sign this application, it means that you are giving us permission to talk about you.
I certify that the above information is true and complete. I understand that any false or incomplete information submitted in support of my application may invalidate my application.
Humber College will collect your personal information in accordance with its role as a post-secondary institution for the provision of the Community Integration through Cooperative Education (CICE) Program.
We need to collect and use this information during the CICE registration process in order to assess your eligibility and register you for the program. Information collected by Humber College may be used or disclosed for various educational, administrative, safety, security, research and/or statistical purposes of Humber College and/or Ministries and agencies of the Government of Ontario and the Government of Canada in compliance with its role as a post-secondary educational institution. For clarity, the information collected from your CICE Application and interview may be shared with Humber College Accessibility Services.
Humber College does not sell, assign, lease or otherwise disclose or permit disclosure of your personal information except as: permitted by this statement; with your prior written consent or as required to comply with legal and regulatory requirements.
By submitting your personal information and registration form, you consent to the collection, use and disclosure of the information by Humber College in accordance with the above.
Questions about the collection, use and disclosure of student information by Humber College should be directed to: Chief Privacy Officer, Office of the Associate Vice-President, Legal and Risk Management, 205 Humber College Boulevard, LRC 6th Floor, Toronto, ON M9W 5L7
Once you click the Submit button, your form will be submitted and you will be sent a confirmation email.
